993
Total cases
46%
Preventable or possibly preventable
54%
With coroner recommendations
29%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
75y · Male·Complications of an out of hospital cardiac arrest secondary to anaphylaxis trig…
A 75-year-old man died from anaphylaxis triggered by self-administered peptide injections (CJC1295/Ipamorelin), which he was taking in excess of the prescribed dose. He injected a dose at home on 28 March 2025, collapsed…
8y · Female·lymphocytic myocarditis
Amrita Varshini Lanka, aged 8, presented on 29 April 2022 to Monash Medical Centre Emergency Department with abdominal pain, fever and vomiting. Initial investigations ruled out appendicitis; gastroenteritis was diagnose…
44y · Male·cardiac tamponade due to ascending aorta dissection
A 44-year-old male with schizophrenia died from cardiac tamponade due to ascending aorta dissection on June 25-26, 2024, while subject to a Psychiatric Treatment Order. He had multiple cardiac risk factors including fami…
67y · Male·end-stage renal failure due to diabetic nephropathy, left lower-limb gangrene du…
This case involves a 67-year-old man with multiple serious chronic conditions (end-stage renal failure, peripheral vascular disease with gangrene, ischaemic heart disease) who presented to hospital after a fall causing s…
69y · Female·Aortic stenosis
Yaqin Han, a 69-year-old woman with aortic stenosis, died on 14 October 2022 during an exercise stress echocardiogram at QEII Hospital from a fatal cardiac arrhythmia provoked by the test. The coroner found that Dr V. fa…
Male·pulmonary thromboembolism secondary to deep vein thrombosis of the right calf fo…
Kenneth Toll died from pulmonary embolism secondary to deep vein thrombosis on day four after bilateral knee replacement surgery at Albury Wodonga Private Hospital. While the surgery itself was appropriate and well-perfo…